Individual provider Active NPI

Andrea C Salazar, PH.D.

  • Counseling Psychologist
  • Seattle, WA
National Provider Identifier
1962896902
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
60878190 Issued in WA
Practice address
2207 NE 65TH St Ste 200
Seattle, WA 98115-7097
Phone
(206) 764-8019
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 60878190 WA Primary
Mental Health Counselor 101YM0800X CG60450410 WA

Addresses

Primary practice location

2207 NE 65TH St Ste 200
Seattle, WA 98115-7097

Mailing address

PO Box 1220
Bellevue, WA 98009-1220
Phone (206) 486-2058

Other practice location 1

12507 NE Bel Red Rd Ste 103
Bellevue, WA 98005-2500
Phone (206) 486-2058

Other names 1

  • Andrea C Salazar-Nunez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CG60450410WAMDMental Health Counselor
60878190WAMDCounseling Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1962896902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980091220",
            "telephone_number": "206-486-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 NE 65TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157097",
            "telephone_number": "206-764-8019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12507 NE Bel Red Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052500",
            "country_code": "US",
            "telephone_number": "206-486-2058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "60878190",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60450410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SALAZAR-NUNEZ",
            "middle_name": "C",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.